Kristine Scullin in Skyforest - Addiction (substance Use Disorder)
Kristine Scullin - NPI 1063602704
Kristine Scullin is a Addiction (substance Use Disorder) in Skyforest, California. Kristine Scullin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kristine Scullin is 1063602704. The last update date is 2007-07-30.
Kristine Scullin's current location address is 28545 Highway 18, Skyforest, California. You can contact this provider via phone number 9093361800. The mailing address for Kristine Scullin is 28545 Highway 18, Skyforest, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Scullin |
|---|---|
| Address | 28545 Highway 18, Skyforest, California |
| Phone Number | 9093361800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063602704 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 28545 Highway 18 |
|---|---|
| City | Skyforest |
| State | California (CA) |
| Post Code | 923850578 |
| Phone Number | 9093361800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | RI-S05060912 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2825 | CA | SIMON |
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What is the unique 10-digit identifier code issued to Kristine Scullin by the Centers for Medicare & Medicaid Services?
The Kristine Scullin has been assigned the NPI (National Provider Identifier) 1063602704 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kristine Scullin's physical address?
The Kristine Scullin is physically located at 28545 Highway 18, in the city of Skyforest, CA, with the postal code 923850578.
What is Kristine Scullin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kristine Scullin is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date was the 1063602704 assigned to Kristine Scullin?
The Kristine Scullin was issued its 1063602704 on 2007-07-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kristine Scullin's details last updated?
The information pertaining to the Kristine Scullin, including its address, specialty, and other details, was most recently updated on 2007-07-30.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN